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#3241 of 11K

37227

HCPCS Procedure Code

HCPCS code 37227 is the #3,241 most-billed Medicaid procedure code, with $2.2M in payments across 2K claims from 2018–2024. The national median cost per claim is $1,345.91. Costs vary widely — the 90th percentile is $3,469.09 per claim, 2.6× the median.

Total Paid

$2.2M

0.00% of all spending

Total Claims

2K

Providers

13

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for 37227? Based on 13 providers billing this code nationally.

Median

$1,345.91

Average

$1,738.62

Std Dev

$1,914.79

Max

$6,963.95

Percentile Distribution (Cost per Claim)

p10
$226.47
p25
$419.75
Median
$1,345.91
p75
$1,884.34
p90
$3,469.09
p95
$4,931.83
p99
$6,557.52

50% of providers bill between $419.75 and $1,884.34 per claim for this code.

90% bill between $226.47 and $3,469.09.

Top 1% bill above $6,557.52.

About This Procedure

HCPCS code 37227 was billed by 13 providers across 2K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,345.91

Providers Billing

13

National Spending

$2.2M

Avg/Median Ratio

1.29×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 37227

#ProviderTotal Paid
11255899704$585K
21235411349$571K
31275016941$300K
41598792632$146K
51497224174$137K
61720423478$136K
71780843086$105K
81710472782$43K
91013014083$42K
101326487513$38K
111740213446$37K
121316948565$10K
131356712848$4K

Showing top 13 of 13 providers billing this code